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HomeMy WebLinkAbout0020 CONANT LANE - Health (2) r�310� s , do No.------.....-6 ...... •.v m ..�, F>$.. ...................... THE COMMONWEALTH OF MASSACHUSETTS. BOARD Off' HILA.' L T H ....... Town. ..............OF..........BaTR5.tsaba.-e- t1�� Alip iration for Mipaiia1 Work,5 Towitrurtion ramit Application is hereby made for a Permit to Construct (X) 'or Repair ( ) an Individual Sewage Disposal System at Lot # 39 Conant Lane Centerville ................_........... -.......---•-•-- •----------- ...........-----••....------ -- Location-Address or Lot No. Suffolk - Trust P.O. _B..._. ... . ....... an e uille............................................•--------•----•-_.._ ............................ Owner Address W Kevin Hickey Carriage__Ln .___.....__ xi; kza.e............ ,-� .............•---•-----••---...--•---•-------•---•-•-----•--......._...-----•......-••••------- Installer Address Type of Building Size Lot...15-x 000---_--.-Sq. feet Dwelling—No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder (no) aOther—Type of Building ____��anch No. of persons__2_______________________ Showers (2 ) — Cafeteria (no) Q' Other fixtures ................................. . W Design Flow.......110..............................gallons per person per day. Total daily flow.........3a0..........................gallons. WSeptic Tank—Liquid capacity_10..(�allons Length___--_ - Width__-5........... Diameter---------------- Depth...5.4_...... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------- Diameter____________________ Depth below inlet.................... Total leaching area............__.__.sq ft. z Other Distribution box (X) Dosing tank ( ) f/r/ ~' Percolation Test Results Performed by-------RQSlald...Gifford:......................... Date ___.. . �.._...._. ._.. 7� al Test Pit No. 1......2.......minutes per inch Depth of Test Pit...12.'........ Depth to ground water.....IaOrie......... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ............................-................................................................................................................................ 0 Description of Soil..............................................0.'.-2_' loam & subsoil x 2 '-12 ' medium sand U W -----------------------------------------------------------------------------.....---------------------------- ....------------------------------------------...----------------------------------------- UNature of Repairs or Alterations—Answer when applicable.___-........................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iIT?. . 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by°the board of iealth)PA, Y Date Application Approved By. ---------- ,. --------------------Date--•-----.----- Application Disapproved for the following reasons----- ------------------------------------------------------------------------------------------------------- ---------------------------------•-------•------...-----------------------.....-----------------------------•-•--------------------------------------...------------------------....-------------------- Date Permit IVo........ Issued....Mt°..........................................s Date FNo............... ..... xs.,�........................ #�_ ,i ` THE COMMONWEALTH'OF MASSACHUSETTS BOAR X'1,21 F HEALTH .........Tdwn.. . ..............O F. .... arustable--.--------------._..--•---................... Applirat ou for Ut jlnlla_,� ,arks Tom3trnrtion amit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal " Systetf at: ,.:. „ Pt # 39 'Conant Lane /-Centerville ... _. .............•-•.. ;•.......-•-•-•-----•......--••••-••--............ -•----•-----••--------------•-------•------•------------•--------------- •----•-•---•....•--- .. Suffolk ,,,g o i TrLlst P.© H or Lot No. ----------- - -----------------------------------•••-• •..... ---....------------.... s2�...�QB......�entervilL�............ �Owner Address :W a . arxge.. aKevin Hickey ? 3a xetabl�. ...............•---.......... V.... Installer Address Q Type of Building 4 Size Lot...1.5-P.0D9........Sq. feet v Dwelling—No. of Bedrooms............. -------,...................Expansion Attic ( ) Garbage Grinder Other—Type of Building ............................. No. of persons........................... Showers (2 ) — Cafeteria (no) '. a -f d Other fixtures -----------•- ••--••--•-•----•---------------------•---•-•--•-•----•---------•--....-------•-•--------•. W Design Flow.......110 gallons per person per day. Total daily flow----.....3.aQ............ ............gallons. WSeptic Tank—Liquid'capacity 00Ogallons Length._8 6 _.. Width....r-�..-.--------Diameter--------------- Depth...54"..... x Disposal Trench—No..................... Width.................... Total Lie,ngth............._...... Total leaching area....................sq. ft. Seepage Pit No ....... Total leaching area..................sq. ft. Z Other Distribution box (X) Dosing tank ( ) Percolation Test Results Performed by.......IRonald_. f-rOxd.......................... Datel -"2-7.8.................... Test Pit No. I......2-------minutes per inch Depth of Test Pit...IV...---... Depth to ground water`:==#-.111011 e....... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ .-..-•-•--•-----•--------------------------•-----------------�E.....-------•-•----i........_..... ......................................................... O Description of Soil.............................................0 @-2_*.....IOaR► & Subsoil ------------------------------------------------------------------------------------- x 2•-12• medium sand W t UNature of Repairs or Alterations—Answer when applicable._---:........................................................................................ ---------------------------•--------------------------------------•----------------------...........k...'-------- .......---------- Agreement: The undersigned agrees to install the aforedescribe 'Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by,the board of iealth t e _. ✓ - - sl Date Application Approved B -. 644.d Date Application Disapproved for the following reasons:.--. -----------------------------•-------•--...........-----------------------•------.....---------------------•---•-----•---•--------------•--------••-•---•----------------•----•------ •---•-.._....... Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town ....OF...... ....Barnstabld .............................:...... ........................ .................. TvIrrtifiratr of Tompltanrr""",, THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( X) or Repaired ( ) Eby--------------------------Kevin Hickey----------------------------------------- nstaller Lot # 39 Conant Lane enterville, MA' at -------•-----•---•-----•-•-•---•------------------------------------------------- has 6een installed ir>`accordance with the provisions of ti ` of The State Sanitary Code as described in the application for Disposal Works Construction Per N 7 '.... d ................ dated--..,�rZ",l" . '.._..._._._...... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE--• •--•......................... Inspector ----• •-•----------------------------------------------------...........---- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH © .......Townn....................OF...........Barnstable............. No......................... FEE......J ............ Bisposal Vorhp T"Onstrnrtion Upamit Kevin Hickey _ II Permission is hereby granted.............. -------------------------•-•--.---•---•--•••--•--••--•••---------•-•-•---•---------...............-•----•-••-----............. to Cons uc ( e air ( ) an Indivi�ddual Se�Ta Dis osal System V,o # - � , narlt. Lane Center illy atNo.............................................................. St eet as shown on the application for Disposal"Works Construction Perm' ...Pe o _..._. _ j. ted...�/Z 1__"' ._.-.......: ew 7d' DATE. 7~l ----•-••-•---•----------•--•............................ Board of Health FORM 125.5 ,HQB'15S & WARREN. 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